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UMBRELLA MEDICAL LLC
NPI 1861202335
Family Medicine in Phoenix, AZ

Active since January 08, 2025CLIA 03D2334079 · Waiver
1728 W GLENDALE AVE STE 100, PHOENIX, AZ 85021(623) 299-8251 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 13, 2026, Jan 8, 2025 (2 updates tracked since 2025).

About Umbrella Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMBRELLA MEDICAL LLC (NPI 1861202335) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Mohamed Khalil, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861202335
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUMBRELLA MEDICAL LLC
Location Address1728 W GLENDALE AVE STE 100Phoenix, AZ 85021-8862
Mailing Address7142 N 17th DrPhoenix, AZ 85021-8539
Phone(623) 299-8251
Organization SubpartNo
Authorized OfficialMohamed KhalilCeo · (602) 369-1823
Enumeration DateJanuary 8, 2025
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1861202335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1728 W GLENDALE AVE STE 100, Phoenix, AZ 85021
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2334079

Umbrella Medical LLC, Dba Integrum Medical · Phoenix, AZ
Active · expires Nov 13, 2027
CLIA Number03D2334079
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorCalinda S. Smith
Laboratory Phone(623) 299-8251
Laboratory LocationUmbrella Medical LLC, Dba Integrum Medical1728 W Glendale Ave Ste 100, Phoenix, AZ 85021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE EDITHE KENNEDY DPM
Podiatrist (Foot & Ankle Surgery)
1728 W GLENDALE AVE STE 100
PHOENIX, AZ 85021
Maricopa County (480) 812-3668
AMY NICOLE PEACOCK FNP-C
Nurse Practitioner (Family)
1728 W GLENDALE AVE STE 100
PHOENIX, AZ 85021
Maricopa County (623) 299-8251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Umbrella Medical LLC's NPI number?

The NPI number for Umbrella Medical LLC is 1861202335. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Umbrella Medical LLC located?

Umbrella Medical LLC is located at 1728 W Glendale Ave Ste 100, Phoenix, AZ 85021. The listed phone number is (623) 299-8251.

What is Umbrella Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Umbrella Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2334079) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Umbrella Medical LLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.